Clinical teaching as a challenge in transforming the nursing profession in estonia

Kristel Kotkas, Anja Heikkinen, Larissa Jõgi

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The changes in European healthcare education, building on the Bologna Process, aimed at the integration of clinical work and teaching and promoted a holistic patient and learner-centred professional paradigm. The article, based on the findings of two qualitative studies (2017–2019), focuses on the transformation of the nursing profession in the context of the Estonian healthcare curriculum reform. Thematic written interviews accompanied by a drawing task were collected from clinical nurse teachers and graduating students. The data was analysed using hermeneutic content and comparative analysis.The findings showed that the students had internalised the patient-centred paradigm and integrated teaching into their clinical work, but their learning was hampered by the institutional atmosphere dominated by clinical values. Among the nurses, only the “ideal clinical teachers” had combined clinical work and teaching in their professional paradigm. The tensions in the clinical internship limit the attainment of the reformed profession.

Original languageEnglish
Article numbere3995
JournalProfessions and professionalism
Issue number3
Publication statusPublished - 2021
Publication typeA1 Journal article-refereed


  • Clinical teaching and learning
  • Healthcare education reform
  • Nurse
  • Patient-and learner-centred professional paradigm
  • Professional development
  • Transformative learning

Publication forum classification

  • Publication forum level 1

ASJC Scopus subject areas

  • Education
  • Life-span and Life-course Studies


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